Comments on: When the Paycheck Takes Precedent Over the Patient http://realityrounds.com/2009/08/24/when-the-paycheck-takes-precedent-over-the-patient/ Get a Second Opinion Thu, 13 May 2010 02:04:05 +0000 hourly 1 http://wordpress.com/ By: Wilbur Alexander http://realityrounds.com/2009/08/24/when-the-paycheck-takes-precedent-over-the-patient/#comment-4907 Wilbur Alexander Mon, 28 Dec 2009 22:24:18 +0000 http://realityrounds.com/?p=2682#comment-4907 Thank you for writing this, I can not find an information which is so clear and through up to now. <a href="http://www.mbi.com.tr/" rel="nofollow">Erp, customer relationship management </A>are my favourites, please check. Thank you for writing this, I can not find an information which is so clear and through up to now. Erp, customer relationship management are my favourites, please check.

]]> By: Michael Jackson’s Doctor to be Charged with Manslaughter « WhiteCoat’s Call Room http://realityrounds.com/2009/08/24/when-the-paycheck-takes-precedent-over-the-patient/#comment-3695 Michael Jackson’s Doctor to be Charged with Manslaughter « WhiteCoat’s Call Room Thu, 27 Aug 2009 01:14:17 +0000 http://realityrounds.com/?p=2682#comment-3695 [...] discussion about the criminalization of medicine from Happy Hospitalist, Nurse K, ERP and Reality Rounds. It’s official. Michael Jackson had lethal levels of propofol in his system. The [...] [...] discussion about the criminalization of medicine from Happy Hospitalist, Nurse K, ERP and Reality Rounds. It’s official. Michael Jackson had lethal levels of propofol in his system. The [...]

]]> By: atyourcervix http://realityrounds.com/2009/08/24/when-the-paycheck-takes-precedent-over-the-patient/#comment-3693 atyourcervix Wed, 26 Aug 2009 17:55:55 +0000 http://realityrounds.com/?p=2682#comment-3693 I recently had a prisoner as a patient. She was handcuffed and shackled. When I asked the attending police officer to please unshackle her, he did so without question. Then I asked him to please uncuff her so I could help her change into a hospital gown. He uncuffed her. After she was changed into a gown, I told him that if he needed to, I had no problem with him placing one cuff on her wrist and cuffing her to the bedrail. He actually didn't cuff her to the bedrail until after the MD examined the woman and determined she wasn't in labor. (PS - she also was not a violent criminal. She was arrested on a warrant for a court appearance for a misdemeanor charge.) I recently had a prisoner as a patient. She was handcuffed and shackled. When I asked the attending police officer to please unshackle her, he did so without question. Then I asked him to please uncuff her so I could help her change into a hospital gown. He uncuffed her. After she was changed into a gown, I told him that if he needed to, I had no problem with him placing one cuff on her wrist and cuffing her to the bedrail. He actually didn’t cuff her to the bedrail until after the MD examined the woman and determined she wasn’t in labor. (PS – she also was not a violent criminal. She was arrested on a warrant for a court appearance for a misdemeanor charge.)

]]> By: MomTFH http://realityrounds.com/2009/08/24/when-the-paycheck-takes-precedent-over-the-patient/#comment-3691 MomTFH Wed, 26 Aug 2009 14:13:01 +0000 http://realityrounds.com/?p=2682#comment-3691 I reread your post and had more to say, but my problem with the comment and my paper is that it is hard to say what we are saying. Uncontrolled autonomy is not the answer. Paternalism on the part of the medical team is not the answer. A healthy balance of the two is the key, I think, with beneficence and the best outcomes being the basis for the decisions made for treatments. I reread your post and had more to say, but my problem with the comment and my paper is that it is hard to say what we are saying. Uncontrolled autonomy is not the answer. Paternalism on the part of the medical team is not the answer. A healthy balance of the two is the key, I think, with beneficence and the best outcomes being the basis for the decisions made for treatments.

]]> By: MomTFH http://realityrounds.com/2009/08/24/when-the-paycheck-takes-precedent-over-the-patient/#comment-3690 MomTFH Wed, 26 Aug 2009 14:10:24 +0000 http://realityrounds.com/?p=2682#comment-3690 Great post, and great analogy to integrity in health care. I was just thinking of you as I was researching for my project, and I stumbled across this article: http://www.ncbi.nlm.nih.gov/pubmed/15020016 ...among others. Sigh. Great post, and great analogy to integrity in health care. I was just thinking of you as I was researching for my project, and I stumbled across this article:

http://www.ncbi.nlm.nih.gov/pubmed/15020016

…among others.

Sigh.

]]> By: Patients For A Moment: Vol. 1, No. 6 // Emergiblog http://realityrounds.com/2009/08/24/when-the-paycheck-takes-precedent-over-the-patient/#comment-3689 Patients For A Moment: Vol. 1, No. 6 // Emergiblog Wed, 26 Aug 2009 14:02:48 +0000 http://realityrounds.com/?p=2682#comment-3689 [...] Rounds takes a page out of the headlines as Michael Jackson’s death shows us what happens When the Paycheck Takes Precedent Over the Patient. I wonder what part of “do no harm” the doctor didn’t [...] [...] Rounds takes a page out of the headlines as Michael Jackson’s death shows us what happens When the Paycheck Takes Precedent Over the Patient. I wonder what part of “do no harm” the doctor didn’t [...]

]]> By: realityrounds http://realityrounds.com/2009/08/24/when-the-paycheck-takes-precedent-over-the-patient/#comment-3688 realityrounds Wed, 26 Aug 2009 12:17:30 +0000 http://realityrounds.com/?p=2682#comment-3688 The money is pointless, unless the prosecution uses it as a motivating factor for why this doctor acted so egregiously. *sigh*.....Watching too much Law and Order lately. The money is pointless, unless the prosecution uses it as a motivating factor for why this doctor acted so egregiously. *sigh*…..Watching too much Law and Order lately.

]]> By: Wanderer http://realityrounds.com/2009/08/24/when-the-paycheck-takes-precedent-over-the-patient/#comment-3687 Wanderer Wed, 26 Aug 2009 09:19:20 +0000 http://realityrounds.com/?p=2682#comment-3687 That's the problem with Jacko: no said NO to him, ever. The doc gave a medicine in a criminally negligent manner, end of story. However much he made off it is pointless. That’s the problem with Jacko: no said NO to him, ever. The doc gave a medicine in a criminally negligent manner, end of story. However much he made off it is pointless.

]]> By: DreamingTree http://realityrounds.com/2009/08/24/when-the-paycheck-takes-precedent-over-the-patient/#comment-3685 DreamingTree Wed, 26 Aug 2009 01:11:26 +0000 http://realityrounds.com/?p=2682#comment-3685 You make an excellent point, RR! You make an excellent point, RR!

]]> By: realityrounds http://realityrounds.com/2009/08/24/when-the-paycheck-takes-precedent-over-the-patient/#comment-3684 realityrounds Tue, 25 Aug 2009 23:26:09 +0000 http://realityrounds.com/?p=2682#comment-3684 Crazy that this is still happening. I would like to shackle, or muzzle that Happy Hospitalist. He is getting on my nerves today. Crazy that this is still happening. I would like to shackle, or muzzle that Happy Hospitalist. He is getting on my nerves today.

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